Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm cost at US hospitals
KIT OMNIGRAFT 2.5X2.5CM DERMAL REGENERATION MATRIX - Q4105-COST PER SQ CM · HCPCS Q4105
$47.50
lowest cash price
$360.12
national median
$8,977.00
highest cash price
270
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $47.50–$8,977.00 — the variation is the story.
Cheapest published cash price
$47.50
Aurora Sinai Medical Center of Aurora Health Care Metro — Milwaukee, WIMedian cash price over time
Nov 1, 2025 ($47.50) → Sep 1, 2026 ($270.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | $5,155.25 | $5,155.25 | $6,316.71 |
| Arizona | 6 | $93.28 | $104.75 | $3,876.54 |
| California | 47 | $181.80 | $7,610.94 | $8,207.02 |
| Colorado | 12 | $154.95 | $154.95 | $154.95 |
| Florida | 18 | $139.75 | $171.86 | $853.00 |
| Georgia | 11 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 21 | $187.20 | $603.00 | $3,573.63 |
| Indiana | 9 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 29 | $234.08 | $234.08 | $1,866.60 |
| Kansas | 2 | $136.80 | $136.80 | $136.80 |
| Kentucky | 6 | $923.90 | $923.90 | $923.90 |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 11 | $171.12 | $171.12 | $171.12 |
| Minnesota | 11 | $95.48 | $5,811.96 | $5,811.96 |
| Missouri | 14 | $4,425.63 | $4,425.63 | $4,425.63 |
| Montana | 2 | $3,866.30 | $3,866.30 | $3,866.30 |
| Nebraska | 12 | $978.08 | $1,071.23 | $1,979.44 |
| Nevada | 2 | $3,877.17 | $3,877.17 | $4,293.26 |
| New Jersey | 21 | $49.12 | $57.63 | $81.22 |
| New Mexico | 3 | $5,628.61 | $5,628.61 | $5,628.61 |
| New York | 17 | $127.14 | $127.14 | $127.14 |
| North Carolina | 2 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 2 | $145.75 | $145.75 | $328.24 |
| Ohio | 45 | $119.50 | $135.77 | $150.60 |
| Oklahoma | 4 | $547.30 | $547.30 | $547.30 |
| Oregon | 10 | $5,329.23 | $5,329.23 | $8,502.16 |
| Pennsylvania | 1 | $143.50 | $143.50 | $143.50 |
| South Carolina | 9 | $243.50 | $243.50 | $370.00 |
| South Dakota | 1 | $820.80 | $820.80 | $820.80 |
| Tennessee | 17 | $464.00 | $568.00 | $8,824.20 |
| Texas | 102 | $142.68 | $288.32 | $5,628.61 |
| Virginia | 11 | $740.00 | $740.00 | $740.00 |
| Washington | 21 | $4,279.06 | $5,492.25 | $8,977.00 |
| West Virginia | 17 | $119.50 | $143.50 | $923.90 |
| Wisconsin | 21 | $47.50 | $47.50 | $47.50 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | $47.50 | $31.19 – $73.88 |
| Aurora Medical Center Burlington | Burlington, WI | $47.50 | $31.19 – $73.88 |
| Aurora Medical Center Grafton | Grafton, WI | $47.50 | $31.19 – $73.88 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | $49.12 | $26.86 – $34.48 |
| Clara Maass Medical Center | Belleville, NJ | $54.09 | $26.86 – $37.24 |
| Community Medical Center | Toms River, NJ | $56.41 | $26.86 – $36.34 |
| Jersey City Medical Center | Jersey City, NJ | $56.51 | $26.86 – $36.34 |
| Newark Beth Israel Medical Center | Newark, NJ | $56.65 | $26.86 – $37.24 |
| Cooperman Barnabas Medical Center | Livingston, NJ | $57.63 | $26.86 – $37.24 |
| Monmouth Medical Center | Long Branch, NJ | $59.51 | $26.86 – $37.24 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | $62.41 | $26.86 – $36.34 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | $64.35 | $26.86 – $36.34 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | $64.65 | $26.86 – $37.24 |
| Trinitas Regional Medical Center | Elizabeth, NJ | $71.47 | $25.51 – $184.71 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $81.22 | $22.31 – $37.85 |
| Banner Boswell Medical Center | Sun City, AZ | $93.28 | $26.09 – $303.36 |
| New Ulm Medical Center | MN 56073, MN | $95.48 | $23.67 – $139.43 |
| Banner Baywood Medical Center | Mesa, AZ | $103.14 | $26.09 – $284.40 |
| Banner Thunderbird Medical Center | Glendale, AZ | $104.75 | $26.09 – $104.17 |
| Banner University Medical Center South | Tucson, AZ | $112.32 | $26.09 – $111.12 |
| Banner University Medical Center Tucson | Tucson, AZ | $117.10 | $22.38 – $117.26 |
| Braxton County Memorial Hospital | Gassaway, WV | $119.50 | $41.81 – $41.81 |
| Barnesville Hospital | Barnesville, OH | $119.50 | $41.81 – $41.81 |
| Jackson General Hospital | Ripley, WV | $119.50 | $41.81 – $41.81 |
| Jefferson Medical Center | Ranson, WV | $119.50 | $41.81 – $41.81 |
| Potomac Valley Hospital | Keyser, WV | $119.50 | $41.81 – $41.81 |
| St. Joseph's Hospital | Buckhannon, WV | $119.50 | $41.81 – $41.81 |
| Summersville Regional Medical Center | Summersville, WV | $119.50 | $41.81 – $41.81 |
| Queens Hospital Center | Jamaica, NY | $127.14 | $14.32 – $310.68 |
| Kings County Hospital Center | Brooklyn, NY | $127.14 | $14.32 – $310.68 |
| Bellevue Hospital Center | NY 10016, NY | $127.14 | $14.32 – $310.68 |
| Woodhull Medical Center | Brooklyn, NY | $127.14 | $14.32 – $310.68 |
| Berger Hospital | Circleville, OH | $135.77 | $51.47 – $65.44 |
| Southeastern Medical Center | Cambridge, OH | $135.77 | $51.47 – $122.44 |
| Hardin Memorial Hospital | Kenton, OH | $135.77 | $51.47 – $51.47 |
| O'Bleness Hospital | Athens, OH | $135.77 | $51.47 – $118.83 |
| Marion General Hospital | Marion, OH | $135.77 | $51.47 – $123.58 |
| Grady Memorial Hospital | Delaware, OH | $135.77 | $51.47 – $124.79 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | $136.80 | $209.78 – $209.78 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $139.75 | $77.40 – $140.40 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $142.68 | $95.15 – $95.15 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $142.68 | $60.63 – $60.63 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $142.68 | $60.63 – $60.63 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $142.68 | $60.63 – $60.63 |
| Texas Health Hospital Rockwall | Rockwall, TX | $142.68 | $95.15 – $95.15 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $142.68 | $60.63 – $60.63 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $142.68 | $60.63 – $60.63 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $142.68 | $95.15 – $95.15 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $142.68 | $95.15 – $95.15 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $142.68 | $60.63 – $60.63 |